Use this mail-in rebate form to
COOL DEALS!
To better understand our customers, and to serve
you better, we would appreciate your answers to the
following questions:
House type where refrigerator will be used:
(Check all that apply.)
Single Family Condo/Townhouse Multi-family
Own Rent Primary residence Vacation home
How many people live in the home?_ __________________
Why did you buy a new refrigerator? (Check all that apply.)
Replace broken unit
New purchase (does not replace broken unit)
New home Upgrade to better unit Energy savings
Remodeling Better performance
How old is the refrigerator you are replacing?
_____________________
What is the main reason you purchased an ENERGY STAR
qualified refrigerator? (Check one.)
Energy savings Rebate Best quality Best price
Size Quieter Environmental concerns Other
Have you previously purchased other ENERGY STAR qualified
products? Yes No
Did you know about the mail-in rebate before you purchased
your ENERGY STAR qualified refrigerator? Yes No
Did the rebate influence your decision to buy?
Yes No
How did you hear about ENERGY STAR qualified refrigerators?
(Check all that apply.)
BGE Web site Radio Newspaper ad
Retailer/salesperson Friend/relative/coworker
News report/article TV ad
Insert in utility bill Other
Save $50 on an ENERGY STAR
qualified refrigerator or $100 on
a super-efficient ENERGY STAR
qualified refrigerator.
Save $50 or $100
Plus, get $50 for recycling your on ENERGY STAR® Qualified
old refrigerator. and Super-Efficient ENERGY
Get $50 for that old, less efficient refrigerator and we’ll
pick it up with BGE’s Refrigerator and Freezer Recycling
STAR Qualified Refrigerators.
Program. To schedule a pickup, call 866.898.1901 or visit
BGERecycleMyOldFridge.com.
Get energized about energy efficiency!
The BGE Smart Energy Savers ProgramSM offers a variety of
services and incentives to help you conserve energy, manage
costs, and protect the environment. Take advantage of:
• Lighting Discounts: Get discounts up to $2.50 off select
ENERGY STAR qualified compact fluorescent light (CFL) bulbs.
• Quick Home Energy Check-up: Customers can sign up for
low-cost home energy check-ups that show how to reduce
energy use and save money.
• Heating and Cooling Tune-ups: Get a $75 rebate on a
diagnostic tune-up of your heating or cooling unit.
Learn more at BGESmartEnergy.com or by calling
877.685.SESP (7377).
These programs are in support of the EmPOWER Maryland Energy Efficiency Act.
The $100 Rebate is made possible in part by a grant from the Maryland Energy
Administration (MEA) funded by the American Recovery and Reinvestment Act (ARRA).
© Baltimore Gas and Electric Company 2010
Brought to you by the BGE Smart Energy Savers ProgramSM. Brought to you by the BGE Smart Energy Savers ProgramSM.
Get more and save more with a $50
or $100 mail-in rebate from BGE for
the purchase of an ENERGY STAR
qualified refrigerator.
When you choose an ENERGY STAR qualified refrigerator,
you’ll enjoy more than just energy savings and outstanding
performance—you can get $50 or $100 back with the attached
mail-in rebate from the BGE Smart Energy Savers ProgramSM.
$50 Rebate—Receive a $50 rebate on ENERGY STAR
qualified refrigerators.
$100 Rebate—Receive a $100 rebate on super-efficient
ENERGY STAR qualified refrigerators with an efficiency
rating 25% above or better than the federal standard.
For qualifying refrigerators, visit BGESmartEnergy.com/
ApplianceRebate to view ENERGY STAR’s detailed list of
refrigerator ratings, and then look at the “Percent Better”
column for those models listed as 25% or higher.
Save now and for years to come.
An ENERGY STAR qualified refrigerator can save you more
than $112 in energy costs over its lifetime compared to a
new standard model.* In most households, the refrigerator
is the single biggest energy-consuming kitchen appliance.
Improvements such as high-efficiency compressors,
enhanced insulation, and more precise temperature and
defrost mechanisms all increase energy efficiency.
For more ways to cut your energy use and save money
from the BGE Smart Energy Savers ProgramSM, visit
BGESmartEnergy.com or call 877.685.SESP (7377).
*Source: ENERGY STAR
Get $50 for recycling your old refrigerator.
Receive $50 for that old, less efficient refrigerator with BGE’s
Refrigerator and Freezer Recycling Program. To schedule a pickup,
call 866.898.1901 or visit BGERecycleMyOldFridge.com.
Get $50 or $100 back when you buy an
ENERGY STAR qualified refrigerator.
Eligibility
• Refrigerator rebates are available to both BGE residential
electric and/or gas customers regardless of energy supplier.
• Limit one rebate per qualified refrigerator, per BGE
residential account, on purchases made beginning
June 1, 2009, for the $50 rebate; April 22, 2010,
for the $100 rebate; or while funds are available.
• Requests must be postmarked no later than 30 days from
purchase date.
• Qualified refrigerator must be purchased in Maryland, or
the buyer must have paid applicable Maryland sales and
use tax.
• Rebate application must be accompanied by proof of
purchase (copy of sales receipt or invoice).
• $50 rebate for ENERGY STAR qualified refrigerator or $100
rebate for super-efficient ENERGY STAR qualified refrigerator.
Fill out completely. All information is required.
Incomplete forms will delay or disqualify your rebate.
I purchased (check one):
A n ENERGY STAR qualified refrigerator that qualifies for
the $50 Rebate.
A super-efficient ENERGY STAR qualified refrigerator that
qualifies for the $100 Rebate and meets these criteria:
• To be eligible for the Maryland Energy Administration (MEA)
American Reinvestment and Recovery Act (ARRA) $100
Rebate, the refrigerator must be purchased at a Maryland
retailer, or the buyer must have paid the applicable Maryland
sales and use tax. The new refrigerator must replace an existing
one that shall no longer be operated in BGE’s service territory.
• The $100 Rebate is for an ENERGY STAR qualified
refrigerator with an efficiency rating of 25% above or better
than the federal standard. For qualifying refrigerators, visit
BGESmartEnergy.com/ApplianceRebate to view ENERGY
STAR’s detailed list of refrigerator ratings, and then look at
the “Percent Better” column for those models listed as 25%
or higher.
BGE Electric or Gas Account Number: _ ______________
Name: _______________________________________
Account Address: _ ______________________________
____________________________________________
City: __________________  State: MD    Zip:__________
Home Phone:___________________________________
Work Phone (optional):____________________________
Email Address:__________________________________
Mailing Address (if different from above):
____________________________________________
City: __________________  State:____  Zip:__________
Information on your new ENERGY STAR qualified
refrigerator:
Brand: ___________________ Model #: ____________
Purchase Price: $ _ ________ Purchase Date: _________
Name and address of store where purchased:
___________________________________________
___________________________________________
By signing this form, I certify that I purchased the ENERGY STAR qualified
appliance(s) noted above for the BGE service address above, and I am
a BGE residential electric or gas customer. I am providing the requested
information solely to be eligible to participate in BGE’s Smart Energy Savers
ProgramSM and request that the personal information supplied by me be
treated as confidential to the maximum extent possible. I certify by my
signature on this application that the ENERGY STAR qualified refrigerator for
which this rebate application is submitted was purchased at a Maryland
retailer, or I have paid the applicable Maryland sales and use tax.
For $100 Rebate only: I also certify that the new refrigerator replaced an
existing refrigerator at the installation address listed herein, and that the
refrigerator being replaced shall no longer be operated at the installation
address listed nor reinstalled at another location in the BGE service territory.
Signature: ___________________________________
Note: If this form is not signed, the rebate will not be processed.
Mail completed form, a dated copy of the sales receipt
or invoice, and a copy of a recent BGE electric bill to:
BGE ENERGY STAR Appliance REBATE
40 Washington Street, Suite 2000
Westborough, MA 01581-1013
Please do not include rebate mail-in application form with your BGE bill payment.
Allow 6–8 weeks for processing.